We found evidence that individual-level interventions can assist disadvantaged smokers with quitting, but there were no large moderating effects of tailoring for disadvantaged smokers. Improvements in tailored intervention development might be necessary to achieve equity-positive smoking cessation outcomes.
In this study, lower socioeconomic position was associated with higher rates of e-cigarette use among those who quit smoking after e-cigarettes became widely available, likely reflecting continued use of e-cigarettes as a long-term cessation aid among individuals with lower socioeconomic positions.
An ambitious public health agenda should not place individual and population‐based approaches in false competition, but should understand and act upon multiple levels of health systems. Improved understanding of the nuances related to medication delivery and e‐cigarette use in the stop smoking service context may further encourage equity positive outcomes.
In England, expenditure among e‐cigarette and nicotine replacement therapy users is approximately one‐third of the expenditure of smokers. The average smoker may save an estimated £15.06 per week by switching completely to e‐cigarettes or £13.04 per week by switching to nicotine replacement therapy, although this is likely to differ according to individual usage patterns.
From 2014 to 2017 in England, e‐cigarette use was greater among smokers from higher compared with lower socio‐economic status (SES) groups, but this difference attenuated over time. Use during a quit attempt was similar throughout SES groups. Use by long‐term ex‐smokers increased over time among all groups and was consistently more common in lower SES groups.